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Universal Coverage Means Less Care

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Contributor & author: Jane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons (AAPS)

Interview – Contact Dr. Orient directly at (520) 323-3110 or by email at janeorientmd@gmail.com

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When the money is gone, treatment is canceled. There will be fewer beds, fewer CT scanners, fewer drugs, and fewer doctors. But all will be fair. No rationing by price, just by waiting lines, political pull—and death. There will be no medical bills to pay after a service, if you get any service. Only taxes in advance, service or no service.

That’s why the universal care advocates count enrollees, not the number of services, and constantly harp on “excessive” treatment, even while planning to make patients wait months for an appointment.”

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May 16th, 2017

The reported success of the Affordable Care Act (ACA or ObamaCare) is based on enrollment numbers. Millions more have “coverage.” Similarly, the predicted disasters from repeal have to do with loss of coverage. Tens of thousands of deaths will allegedly follow. Activists urge shipping repeal victims’ ashes to Congress—possibly illegal and certainly disrespectful of the loved one’s remains, which will end up in a trash dump.

Where are the statistics about the number of heart operations done on babies born with birth defects, the latest poster children? How about the number of babies saved by this surgery, and the number allowed to die without an attempt at surgery—before and after ACA? I haven’t seen them. Note that an insurance plan doesn’t do the operation. A doctor does. The insurer can, however, try to block it

Also missing are figures on the number of courses of cancer chemotherapy given, or not given, or the time from diagnosis to death in cancer patients before and after ACA. Five-year survival of cancer patients in the U.S. is generally better than in countries that have universal coverage, or the type of plan progressives want to import. Again, the insurance plan isn’t medicine. You can get medicine without insurance, and if you have insurance it might refuse to pay.

There are selected comparisons of change in mortality rates in states that did or did not expand Medicaid (such as New York vs. Pennsylvania). On the other hand, mortality did not decrease in one state (Oregon). These estimates—guesstimates really, are based on the weakest type of data, and the differences may have nothing to do with Medicaid. Maybe it was better AIDS treatments. We hope that the FDA does not use evidence this poor to evaluate drugs.

But what effect did ObamaCare have on overall U.S. mortality?

Between 2014 and 2015, U.S. mortality rates increased for the first time in decades. This primarily affected less-educated whites. Is ObamaCare the cause? There are many factors involved, drug abuse probably being the most important. But I suspect that if repeal had happened in 2012 or 2013, it would have been blamed.

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Medical Communication Companies and America’s Medical Propaganda Machine

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Duty to Warn

By Gary G. Kohls, MD

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“(Mitochondria, by the way, are the tiny energy-producing “hearts and lungs” of every living cell in our bodies that can be poisoned by the ingredients of many of our commonly prescribed drugs and vaccines.)”

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Examining One of the Many Ways That Healthcare Providers are Compelled to Over-prescribe Big Pharma’s Unaffordable, Often Toxic and Often Dependency-inducing Prescription Drug

“He who pays the piper calls the tune.” – Robert Browning

Similar conflicts of interest and biases exist in virtually every field of medicine, particularly those that rely heavily on drugs or devices. It is simply no longer possible to believe much of the clinical research that is published or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.” Marcia Angell, MD, author of “The Truth About the Drug Companies: How They Deceive Us and What to Do About It”

“The results of (usually Big Pharma-sponsored) clinical trials are submitted to the FDA, and if one or two drug trials are positive—that is, if they show effectiveness without serious risk—the drug is usually approved, even if all the other trials are negative.” — Marcia Angell, MD, author of “Drug Companies and Doctors: A Story of Corruption” More

Clinton may be the “death sentence” for America and Trump is 50/50

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new-logo25Editorial response by:  Doug Kinan

 

Globe article: Wild presidential debates have proved pivotal in trajectory of campaign – The Boston Globe

Kinan’s Response:

Both candidates have acted inappropriately and both have history.

Private sector history and public sector history are different.

Trump’s alleged history has had no impact on the nation and the world.

Clinton has three decades of public service with little to show America what has been accomplished for America and Americans.

Essentially the government no longer represents the American taxpayers. Is the status quo what America needs or wants?

On one issue alone, “immigration”, the choice should be clear. More

Obamacare: Death to Physicians? Suicide Rates Climb Since ACA Passed

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new logoBy Elizabeth Lee Vliet, M.D

Physicians also fear losing hospital privileges if treatment for depression is disclosed. Hospital administrators increasingly use mandated psychiatric treatment as a bullying tactic to remove independent-thinking, patient-focused physicians from hospital staff.

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Chaos and disruptions in medical care have had one tragic and destructive effect that no one is addressing: the deaths of more than 2,000 physicians by suicide since Obamacare was passed by means of strong-arming and bribery.

censored doctPhysicians in general have a higher rate of suicide than other professional groups and the general public. Women physicians’ suicide rates are reported to be up to 400% higher than women in other professions. Male physicians’ rates are 50% to 70% higher.

Why are more physicians seeing suicide as their only option? The rising rate since the 2010 Affordable Care Act was passed points to the added regulatory and financial pressures from Obamacare as major factors:
• need to see more patients per hour to make ends meet
• lower payments, longer delays in being paid, and declining patient visits due to higher co-pays and deductibles
• financial stress, a known trigger for suicide, intensified by a 40 % to 50% decline in practice revenues as overhead costs go, forcing many primary-care physicians to close up their practices
• increasing administrative and paperwork burden, which takes time away from patient care, without the satisfactions of helping patients
• more generalized “one-size-fits-all” protocols demanded by insurance and government “guidelines”
• more forms, reports, and regulations that no one understands, but with huge financial penalties and even prison time for making mistakes
• demonization of “greedy doctors” by insurance companies, government, and media.

Doctors have always been at higher risk of suicide than other professions for several reasons:
• pressures of responsibility for patients’ lives
• fear of making mistakes that might cost a life or trigger a malpractice suit
• fear of losing one’s medical license and livelihood
• long hours, time away from families on nights and weekends
• high rates of unrecognized or untreated depression, alcohol or substance abuse, and divorce due to all of the above

Doctors are human too, and have feelings. I think other critically overlooked factors in the rising suicide rates since 2010 include:
• the increasing sense that doctors are just a “cog in a wheel,” interchangeable with those having less training and expertise
• feeling unappreciated by patients, who toss them aside like an old toy when insurance plans change
• frustration with patients who dismiss medical recommendations if “it is not covered by my insurance”
• loss of autonomy, control, and independence as faceless insurance clerks, bean-counters, licensing boards, and government agencies dictate how, where, and when medicine is to be practiced, with no knowledge of the patient in question.

Physicians are also often their own worst doctors and feel they can handle their own health issues and stress. There is the ever-present social stigma about seeking mental health treatment, but for physicians this is magnified by the fear of being penalized and having their medical license jeopardized if they seek treatment for depression or stress. We encourage others to seek mental health professionals if appropriate, but most physicians are afraid to do so themselves because such treatment must be reported on each medical license renewal application, increasing the risk of losing one’s license and livelihood.

Physicians also fear losing hospital privileges if treatment for depression is disclosed. Hospital administrators increasingly use mandated psychiatric treatment as a bullying tactic to remove independent-thinking, patient-focused physicians from hospital staff.

All of these problems, especially the feelings of loss of control and loss of autonomy in one’s medical decision-making, have escalated dramatically with the ever-increasing regulatory burdens under Obamacare.

A death by suicide is devastating to families, leaving emotional scars that may never heal. Physicians’ family members often have significant support to help with grief and shock, but very little attention is paid to the needs of patients, especially older patients who often have profound feelings of loss, and little support to help them through unexpected loss of a trusted physician upon whom they depended.

Most doctors go into medicine truly committed to helping people who are ill and in pain. Today, doctors are under siege with outside forces preventing them from doing the very thing that means the most: taking care of patients. The sensitive and compassionate ones have an even harder time dealing with denials of care they know their patients need.

The toll on doctors—and then patients—is getting worse daily. Insurance and government bureaucrats had best remember: at some point, we ALL will be a patient—that includes YOU.

WARNING: dead doctors cannot save your life.

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The Final Financial Solution: Shoot the Messengers

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new-logo25Submitted By Dr. Gary Kohls
By Guest Columnist William Annett

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“(c) The greatest boff of all belongs to the pharmaceutical industry and its standard-bearer GlaxoSmithKline (GSK). Normal operations, sanctioned by a well-juiced government and its trained seal the FDA, consist of developing top-drawer medications which are then marketed for billions, whether or not they’re dangerous – or even criminal.”

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We’re living in a cuckoo’s nest that would have baffled Ken Kesey. thFLBPYT2F Consider just three items at the top of our agenda.

(1) Astronomical military spending at a time when there’s nobody left in the world big enough to fight us, with the exception of international terrorists (of which the definition is any rebel faction in a Middle East loaded with factions, most of which we first created, then armed and now oppose, not because they’ve changed but because we have),

(2) the health care farce, which makes us the most expensive, least effective (at least #47 in the world) and largest laughingstock in the world, and finally,

(3) the final triumph of corporate governance in Washington, which is icing the decline and fall of both capitalism and democracy in one fell swoop.

Witness the final humiliation: Warren Buffett, the richest deckhand on this ship of fools, recently announced how he could cure all our ills in about five minutes: every time Congress screws up by deadlocking itself or filibustering over the people’s business, we suspend their Congressional salaries and munificent benefits, such as the real health care system they deny us. The result would be guaranteeing the immediate end of deficits, debt problems and unemployment. Inadequate, Warren, but like drowning lawyers, a good start.

Take the Pentagon (as Rodney Dangerfield might say: Please). While every politician is shit-hemorrhaging over the budget deficit, military spending has reached such ridiculous proportions that multi-billion dollar items (such as the recent F-35 horror) click automatically into place, even though nobody – including the Pentagon brass itself – wants the bloody thing. It’s just fixed, embedded national policy/corporate welfare that subsidizes the weapons industry. And just the other day, our formerly audacious hopeful President sent to Congress his endorsement of the largest Pentagon budget in history. More

ACOs Are the Latest Assault on Private Medical Practice

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new-logo25By Richard Amerling, M.D.

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“Burwell is not content with destroying only Medicare. According to Medscape, “Burwell also announced the creation of a Health Care Payment and Learning and Action Network”

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In a critique of Accountable Care Organizations (ACOs) last October I 1723251_10152281254508606_304151171_nwrote: “Now comes news that three more of the original groups will jump ship, leaving only 19 of the original 32 still on board. A nearly 50 percent attrition rate should be seen as a death knell for the concept, as these were likely the best of the best, and the inducements most generous. Reasonable people would head back to the drawing board. But we are dealing with government bureaucrats, health policy wonks, and administrators. They will damn the torpedoes and push on at flank speed.”

And, as predicted, that is exactly what is happening. More

Survival Prospects for ObamaCare in 2015

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new-logo25By Jane M. Orient, M.D.,

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“It may be years before a new beneficiary develops a serious illness and finds out that his policy is worthless.
• Come April, Americans will be having to tell the IRS about their insurance status, and pay an additional “tax” if it doesn’t meet requirements. Employers face onerous new reporting requirements come New Year’s Day, and the delayed employer mandate kicks in.”

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Now that Republicans have control of Congress, they could possibly keepObamacareHurt their promise to repeal ObamaCare—except for two immediate obstacles. One of course is the threat of the Presidential veto. Another is the already apparent willingness of craven politicians to surrender pre-emptively.

Once a government benefit is given, it becomes politically suicidal to take it back—at least in a way that people can see. There are likely a million or more Americans who are reveling in “having healthcare for the first time in their lives.” Or so the Administration’s messaging would have us believe. People are not yet onto the difference between having an insurance card and getting prompt medical attention. More

THE MESSAGE OF THE VOTERS

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strip bannernew-logo25 Don Jans, Author and Speaker

“My Grandchildren’s America”

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“These concepts and ideas are fundamental to the essence of the United States of America. The voters said we want these fundamentals restored; we do not wish to be fundamentally transformed to a totalitarian Marxist state as Obama and the Marxist/Progressives promised and are doing. Did the Republican Party hear?

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We were told by Obama that even though he was not on the ballot, his policies were. Yes, they were and the message of the election was loud and clear; America does not like the Marxist policies of the Obama regime. Even though the message was clear, the question is did the leaders of the Republican Party hear and understand the message. We already know Obama did not hear, did not understand, or chose to ignore the message.

What really was the message? It was very simple. The American voter said now that we see how this fundamental transformation that was promised looks, we do not like it. The American voter said we prefer the type of government and society our founders established. They established three basic principles that are excellent for a prosperous, free, and great country and we want these reestablished.

The three basic concepts the founders instituted had never been tried before the founders said we think this type of government and country will allow individual citizens to flourish and prosper and by being individuals they will establish a great and powerful nation. How correct the founders were. Unfortunately, others came along and said what the founders had established needed to be fundamentally transformed. They said what the founders did created a selfish and greedy people who refused to conform to the concept of subjugation to a government and community, as opposed to being a unique and non-conforming individual; the very essence of American greatness. More

Republicans Can No Longer Blame Harry Reid for Failing to Repeal ObamaCare

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strip bannernew-logo25By Jane M. Orient, M.D.

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“They impose no selective stealth taxes. If Congress is to tax people, it must do so through transparent, constitutional means.
They do not expand the reach of government into areas in which it has no constitutional authority.
They create no new agencies through which Congress can further abdicate its authority to the Executive.
They reduce the governmental footprint on the necks of Americans.”

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The time for Republican self congratulation is over, and the work needs to begin. It appears that the majority of the voting population recognizes that our country is in dire condition. Time is running out to fix it. Are Republicans going to work for our country, or just shift money around to different special interests?

It is not reassuring that some Republican Party strategists think they won because they purged controversial candidates who might make a campaign gaffe—and who might upset the ruling elite’s agenda if they got elected. Or that Democrats seem confident that Republicans will “work together” with them to continue the Progressive agenda—or else Obama will do it all by himself.

Republicans can no longer blame Harry Reid for their failure to repeal or defund ObamaCare. They can’t just take symbolic votes and complain (not too loudly) when bills get bottled up in the Senate. It’s on them now. More

You picked A Fine Time to Leave Me Blue Shield

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ChuckRedden

We Need Doctors Who Are Out of Control

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new-logo25  By Alieta Eck, M.D.

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We constantly are told that “while ObamaCare might not be perfect, the right has not come up with a better plan.” Is it possible that we do not need a “plan” at all?

Think about it. Has the federal government set up a food plan for all? A housing plan? Is the Secretary of Whatever empowered to decide what and when we eat? What kind of house each of us lives in? Of course not. We work, we plan and we buy what we need, saving up for the big-ticket items. Government does not control us, nor should it.

So why is health care different?

“Health care” begins in the home– when moms and dads teach and model good health habits and good nutrition. In grade school the health teachers show children the basic food groups and explain why eating right and exercising is the road to a healthy life. Avoiding the use of toxic substances such as cigarettes, alcohol, and illegal drugs is part of early training. Early learning of the proper role of kindness and generosity is the best way to teach good behavior and the structure of a healthy family and community.

So while staying healthy is the first step, next we need to learn how to detect illness early. A fever, a localized pain, a cough, or simply knowing that something is just not right ought to prompt one to seek medical attention. That is where it would be good to have a relationship with a physician who knows us, or at least knows the right questions to ask. His education is geared to picking up the signs, symptoms, and physical indications of disease. He is also prepared to handle 92% of what ails us and can get us back on our feet. We ought not need health insurance for routine care, as running these visits through an insurance company will make them more expensive.

Of course, despite our best behavior with inevitable slip-ups, 8% of us will come down with a serious injury or illness. This is where we will need the expertise of those who have made this country the go-to place for the best care in the world. A tumor, blood disorder, cancer, diabetic complications, or a broken bone—these are instances where purchasing health insurance—affordable, high-deductible health insurance is a wise decision. More

OBAMA REAFFIRMS INTENT TO TRANSFORM US INTO MARXIST SOCIETY

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new-logo25 Don Jans

My Grand Children’s America Blog 

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On Monday, November 30, 2013, Obama gave a talk about what he called the growing inequality and lack of opportunity in America.   He said this would be his focus the rest or his term.  This is how he phrased it.

“…. and that is a dangerous and growing inequality and lack of upward mobility that has jeopardized middle-class America’s basic bargain — that if you work hard, you have a chance to get ahead.  I believe this is the defining challenge of our time:  Making sure our economy works for every working American.  It’s why I ran for President.  It was at the center of last year’s campaign.  It drives everything I do in this office.  And I know I’ve raised this issue before, and some will ask why I raise the issue again right now.  I do it because the outcomes of the debates we’re having right now — whether it’s health care, or the budget, or reforming our housing and financial systems — all these things will have real, practical implications for every American.  And I am convinced that the decisions we make on these issues over the next few years will determine whether or not our children will grow up in an America where opportunity is real.” More

Obamacare: Sold to the Highest Bidder

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new-logo25By  Dr. Marilyn Singleton,

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The Affordable Care Act is like the television show Storage Wars, where unclaimed items in storage lockers are auctioned off after a quick peek through the door. People bid top dollar and hope for the best. Some find a goldmine, but the unseasoned bidders usually receive a Pandora’s Box.

Let’s look at some of the winners. The Center for Public Policy, a non-partisan public interest think tank in Washington D.C., estimated that $120 million was spent lobbying for health reform. Pharmaceutical Researchers and Manufacturers of America (PhRMA) alone spent $26 million lobbying for Obamacare in 2009. And PhRMA has spent well over $100 million on ad campaigns promoting healthcare reform legislation.

Upon passage of the bill, the stocks of some of the largest health insurers, including Cigna, UnitedHealth Group,WellPoint,and Aetna climbed. Major makers of electronic health records (EHR) systems lobbied hard, locking out smaller competitors. Chicago-based Allscripts Healthcare Solutions former CEO Glen Tullman, who had served as health technology adviser to Obama’s presidential campaign in 2008, made more than $200,000 in contributions to the campaign, and was frequent guest at the White House during 2009. With some nudging from the Stimulus mandate for EHRs, annual sales of Allscripts more than doubled from $548 million in 2009 to $1.44 billion in 2012. Cerner, another software purveyor, spent $400,000 lobbying for EHR. During the same three-year period, sales rose 60 percent.

Of course, AARP’s CEO, Barry Rand, wrote that the ACA was “vital” for the nation’s seniors. This makes no sense when the ACA in fact cut a half a trillion dollars from the popular Medicare Advantage program. It seems the ACA’s passage was vital to AARP’s insurance Medi-gap insurance products – which people with Medicare Advantage do not need. More

What Will the [Un]Affordable Care Act Look Like in a Year?

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new-logo25Author/Contributor: G. Keith Smith, M.D.

 

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Many are speculating about  the outcome of what I call UCA for the [Un]Affordable Care Act, also known as ObamaCare. I think there are two basic scenarios.

 

 

First is that UCA will do  precisely what it was intended to do: inject economic chaos into the medical  marketplace, driving prices for insurance and healthcare through the roof, so  that people will beg for the sequel—single payer. That means everybody is forced  into one big government plan. There is no doubt in my mind that this was the  intention of the authors of this bill, several of whom were the corporate  players who would benefit from this. While it is worthwhile to understand  various provisions of UCA, detailing its shortcomings without assigning  malevolent intent to its authors is naive, I think. This legislation was meant  to “crash” the system. That is its purpose. Unaffordable care and insurance are  its goals. This is a medical economic false flag from which only Uncle Sam can  rescue us. More

Death Panels Are Already At A Hospital Near You

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new-logo25By author/contributor Marilyn M.  Singleton, M.D., J.D. a board-certified  anesthesiologist and Association of American Physicians and Surgeons (AAPS)  member

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When advance health care directives (“living wills”)  were popularized, the guiding principle was to allow patients to choose to “die  with dignity.” But one man’s dignity is another man’s poison. Surveys suggest  that half of those with a serious chronic illness prefer to die at home. The  other half prefer treatment in hospitals.

Advance directive legislation has evolved from a means  to ensure patient autonomy to a license for health providers to ObamacareHurtwithdraw medical  treatment—even against a patient’s wishes. Statutory advance directives provide  that individuals “have the right to give instructions about their own health  care,” but they fail to mention that such instructions may not be carried out if  individuals have chosen life. (See, for example, California Probate Code section  4701).

The Uniform Health Care Decisions Act (UHCDA), model  legislation developed in 1994, has been adopted in whole or in part by several  states. It provides that health-care providers—without legal consequences—may  decline to comply with an individual’s health-care decision that “requires  medically ineffective health care or health care contrary to generally accepted  health-care standards applicable to the health-care provider or institution.”  Not surprisingly, the key term, “medically ineffective” is not defined. Any  attempts at specificity would force an open debate on the morality of rationing  and “playing God.”

Patients must be informed of the rules before the final  seconds of the game. Under state laws, circumstances under which wishes can be  denied range from a terminal condition or permanent unconsciousness (Alabama) to  being permanently unconscious or “an incurable or irreversible condition” that  will cause death “within a relatively short time”  (Maine).

Unbeknownst to patients, many hospitals have policies  that flesh out treatment withdrawal standards. For example, Stanford Hospital’s  “Policy for Medically Ineffective (Futile) Treatment”  states:

Medically ineffective refers to treatment that would not  offer the patient any significant benefit. If an attending physician believes  treatment is not medically ineffective and assumes care of the patient,  treatment is not medically ineffective.

This tortured clarification anoints the physician as the  final arbiter. More

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